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WATER CONSERVATION BOARD <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />Buyer. MAGGIE VAN CLEEF <br />Phone Number: 303 - 866 -3292 <br />Agency contact. STEVEN SHULL <br />Phone Number. 303 8 6 6 3441 <br />FEIN 846012143 <br />Vendor Contact. <br />Purchase Requisition #: <br />DATE: 06 -02 -10 <br />IMPORTANT <br />The PO# and Line # must <br />appear on all invoices, <br />packing slips, cartons <br />and correspondence <br />Phone: 719 - 948 -24 1 BID # <br />V SOUTHEASTERN COLO WATER CONS DIST <br />E <br />N <br />D 31717 UNITED AVENUE <br />O PUEBLO CO 81001 <br />R <br />Invoice In Triplicate <br />To: DIVISION OF WATER CONSERVATION <br />1313 SHERMAN STREET, ROOM 721 <br />DENVER, CO 80203 <br />n"� PURCHASE <br />t2 ORDER <br />STATE OF COLORADO <br />P.O. # OE PDA 10000000122 Page# 01 <br />will be made by this agency <br />Ship DIVISION OF WATER CONSERVATION <br />INSTRUCTIONS TO VENDOR: To= 1313 SHERMAN STREET, ROOM 721 <br />1. If for any reason, delivery of this order Is delayed beyond the delivery/installation date DENVER, CO 80203 <br />shown, please notify the agency contact named at the top left. (Right of cancellation is <br />reserved In Instances In which timely delivery is not made.) <br />2. All chemicals, equipment and materials must conform to the standards required by OSHA. <br />Delivery/Installation Date 04-30-11 <br />3. NOTE: Additional terms and conditions on reverse side. F .O.B. DESTINATION STATE PAYS NO FREIGHT <br />SPECIAL INSTRUCTIONS: <br />LINE COMMODITY/ITEM tRlt OF <br />ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST <br />001 91843000000 <br />WATER CONSERVATION GRANT — COMPLETE A REGIONAL CONSERVATION <br />PLAN IN CONJUNCTION WITH ARK VAL CONDUIT. PER SOW. CMS #17795 <br />THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS <br />This PO fs effective on the date signed by the authorized individual. <br />SPSPO PM <br />DP -01 (R- 02/06) <br />ACC: 06 -01 -10 IstatbAwardf <br />FOR THE STATE <br />$39,926.00 <br />Date 6 <br />